A clinical & statistical analysis of the facial bone fractures: 7 years survey.
- Author:
Jong Hi LEE
;
Goo Hyun MUN
;
Sa Ik BANG
- Publication Type:Original Article
- MeSH:
Chungcheongbuk-do;
Facial Bones*;
Female;
Humans;
Incidence;
Male;
Mandible;
Medical Records;
Motor Vehicles;
Plastics;
Retrospective Studies;
Soft Tissue Injuries
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
1998;25(6):1046-1052
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This retrospective study comprise 595 patients with facial bone fractures in various accidents and treated in the department of Plastic and Reconstructive Surgery, the Chung Buk National University Hospital between September 1991 and December 1997. The medical records of these 595 patients were reviewed and analyzed in order to obtain the clinical pattern and understand the therapeutic modalities. The following results were obtained. 1. The most prevalent age group was the third decade(35.1%). 2. The monthly incidence was the highest in September and the most common accident time was between 6:00 p.m. and midnight. 3. The most common etiology was motor vehicle accidents(59.5%) followed by assault(26.2%), fall(11.4%), sports(2.7%). 4. The male predominated over female in 4.27:1 ratio. 5. The most common fracture site was nose(30.0%) followed by mandible(26.7%), zygoma(23.3%), orbit(8.6%), maxilla(8.1%), frontal sinus(3.2%). 6. The most common fracture site of mandible was parasymphsis(34.9%) followed by angle(27.1%), condyle(23.4%), symphysis(14.5%). 7. The soft tissue injury was the most common associated injury(51.1%). Fcial soft tissue injuries were sustained by 53.3% in the highest rate associated with the associated injuries. 8. Open reduction was used for 63.7% of total cases while 33.8% of total cases required closed reduction, and 2.5% of total cases treated conservatively. 9. The complication rate was 14.1% and the ophthalmologic complication rate comprise 44.9% of all complications.
